Provider Demographics
NPI:1043461213
Name:IHE, UCHE
Entity Type:Individual
Prefix:
First Name:UCHE
Middle Name:
Last Name:IHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 EAGLE ROCK AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2954
Mailing Address - Country:US
Mailing Address - Phone:201-563-8916
Mailing Address - Fax:908-756-5849
Practice Address - Street 1:642 EAGLE ROCK AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2954
Practice Address - Country:US
Practice Address - Phone:201-563-8916
Practice Address - Fax:908-756-5849
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHPO113700376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide